单鼻孔蝶窦入路垂体腺瘤切除术后并发症的分析

摘要

Objective To evaluate the complications of trasnaso-sphenoidal microsurgery for pituitary adenomas, and discuss the problem of effective prevention and management. Methods 132 trasnaso-sphenoidal microsurgery for pituitary adenomas were reviewed retrospectively to evaluate complications. Results After the operation, there were 5 CSF rhinorrhea patients;14 diabetes insipidus patients;1 visual disturbance patient;2 supsecreting patients;1 sphenoidal infection patient;1 abduct nerve paralysis patient;there were 2 patients with 2 or various complications, and no dead patients. The majority had been cured by the non-operation. Conclusion The master of the local microdisscetion, adequate management after operation and the proifcient operation skill can decrease the rate of complication.%目的探讨单鼻孔蝶窦入路垂体腺瘤术后并发症及其防治措施。方法回顾分析我科132例单鼻孔蝶窦入路垂体腺瘤切除术后并发症情况。结果本组病例术后发生脑脊液鼻漏5例，尿崩症14例，视觉障碍1例，垂体功能不足2例，蝶窦感染1例，外展神经麻痹1例，有2例患者出现以上两种或两种以上并发症，无昏迷及死亡病例。大部病人都经保守治疗而愈。结论熟知局部的相关解剖，不断提高手术技巧，重视术后处理，有助于减少并发症，提高临床治疗效果。